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NURSING FINAL EXAM QUESTIONS WITH COMPLETE SOLUTIONS.
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NURSING FINAL EXAM QUESTIONS WITH COMPLETE SOLUTIONS.
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NURSING FINAL EXAM QUESTIONSWITH COMPLETE SOLUTIONS
What ssdata ssshould ssthe ssnurse sscollect ssduring ssthe ssinterview ssportion ssof ssa
sshealth ssassessment? ss
a. ssPhysical
b. ssHistorical
c. ssObjective
d. ssSubjective ss- ssAnswer ssd. ssSubjective
A ss59-year-old sspatient sstells ssthe ssnurse ssthat sshe sshas ssulcerative sscolitis. ssHe sshas
ssbeen sshaving ss"black ssstools" ssfor ssthe sslast ss24 sshours. ssHow sswould ssthe ssnurse
ssbest ssdocument sshis ssreason ssfor ssseeking sscare?
a. ssJ.M. ssis ssa ss59-year-old ssman ssseeking sstreatment ssfor ssulcerative sscolitis.
b. ssJ.M. sscame ssinto ssthe ssclinic sscomplaining ssof sshaving ssblack ssstools ssfor ssthe
sspast ss24 sshours.
c. ssJ.M. ssis ssa ss59-year-old ssman sswho ssstates ssthat sshe sshas ssulcerative sscolitis
ssand sswants ssit sschecked.
d. ssJ.M. ssis ssa ss59-year-old ssman sswho ssstates ssthat sshe sshas ssbeen sshaving ss"black
ssstools" ssfor ssthe sspast ss24 sshours. ss- ssAnswer ssd. ssJ.M. ssis ssa ss59-year-old ssman
sswho ssstates ssthat sshe sshas ssbeen sshaving ss"black ssstools" ssfor ssthe sspast ss24
sshours.
The ssnurse ssis ssnearing ssthe ssend ssof ssan ssinterview. ssWhich ssstatement ssis
ssappropriate ssat ssthis sstime?
a. ss"Did sswe ssforget sssomething?"
b. ss"Is ssthere ssanything sselse ssyou sswould sslike ssto ssmention?" ss
c. ss"I ssneed ssto ssgo sson ssto ssthe ssnext sspatient. ssI'll ssbe ssback."
d. ss"While ssI'm sshere, sslet's sstalk ssabout ssyour ssupcoming sssurgery." ss- ssAnswer ssb.
ss"Is ssthere ssanything sselse ssyou sswould sslike ssto ssmention?"
When ssthe ssnurse ssasks ssfor ssa ssdescription ssof sswho sslives sswith ssa sschild, ssthe
ssmethod ssof ssdiscipline, ssand ssthe sssupport sssystem ssof ssthe sschild, sswhat sspart ssof
ssthe ssassessment ssis ssbeing ssperformed?
a. ssFamily sshistory
b. ssReview ssof sssystems
c. ssFunctional ssassessment ss
d. ssReason ssfor ssseeking sscare ss- ssAnswer ssc. ssFunctional ssassessment
The ssnurse ssis sscomparing ssthe ssconcepts ssof ssreligion ssand ssspirituality. ssWhich
ssstatement ssdescribes ssan ssappropriate sscomponent ssof ssone's ssspirituality?
a. ssBelief ssin ssand ssthe ssworship ssof ssGod ssor ssgods
,b. ssBeing ssclosely sstied ssto ssone's ssethnic ssbackground
c. ssAttendance ssat ssa ssspecific sschurch ssor ssplace ssof ssworship
d. ssA ssconnection sswith sssomething sslarger ssthan ssoneself ssand ssbelief ssin
sstranscendence ss- ssAnswer ssd. ssA ssconnection sswith sssomething sslarger ssthan
ssoneself ssand ssbelief ssin sstranscendence
The ssnurse ssis sstaking ssan ssinitial ssblood sspressure ssreading sson ssa ss72-year-old
sspatient sswith ssdocumented sshypertension. ssHow ssshould ssthe ssnurse ssproceed?
a. ssCuff ssshould ssbe ssplaced sson ssthe sspatient's ssarm ssand ssinflated ss30 ssmm ssHg
ssabove ssthe sspatient's sspulse ssrate.
b. ssCuff ssshould ssbe ssinflated ssto ss200 ssmm ssHg ssin ssan ssattempt ssto ssobtain ssthe
ssmost ssaccurate sssystolic ssreading.
c. ssCuff ssshould ssbe ssinflated ss30 ssmm ssHg ssabove ssthe sspoint ssat sswhich ssthe
sspalpated sspulse ssdisappears. ss
d. ssAfter ssconfirming ssthe sspatient's ssprevious ssblood sspressure ssreadings, ssthe sscuff
ssshould ssbe ssinflated ss30 ssmm ssHg ssabove ssthe sshighest sssystolic ssreading
ssrecorded. ss- ssAnswer ssc. ssCuff ssshould ssbe ssinflated ss30 ssmm ssHg ssabove ssthe
sspoint ssat sswhich ssthe sspalpated sspulse ssdisappears.
A ss42-year-old sspatient ssof ssAsian ssdescent ssis ssbeing ssseen ssat ssthe ssclinic ssfor ssan
ssinitial ssexamination. ssWhy ssis ssit ssimportant ssfor ssthe ssnurse ssto ssconsider ssthe
ssbasics ssof ssthe sspatient's ssculture ssduring ssthe sspatient's sshealth ssassessment?
a. ssIdentify ssthe sscause ssof sshis ssillness.
b. ssMake ssaccurate ssdisease ssdiagnoses.
c. ssThe ssU.S. ssis ssbecoming ssincreasingly ssdiverse.
d. ssProvide ssculturally ssrelevant sshealth sscare. ss- ssAnswer ssd. ssProvide ssculturally
ssrelevant sshealth sscare.
The ssnurse ssis ssperforming ssa ssmental ssstatus ssexamination. ssWhich ssstatement ssis
sstrue ssregarding ssthe ssassessment ssof ssmental ssstatus?
a. ssMental ssstatus ssassessment ssdiagnoses ssspecific sspsychiatric ssdisorders.
b. ssMental ssdisorders ssoccur ssin ssresponse ssto sseveryday sslife ssstressors.
c. ssMental ssstatus ssfunctioning ssis ssinferred ssthrough ssthe ssassessment ssof ssan
ssindividual's ssbehaviors. ss
d. ssMental ssstatus sscan ssbe ssdirectly ssassessed, sssimilar ssto ssother sssystems ssof
ssthe ssbody ss(e.g., ssheart sssounds, ssbreath sssounds). ss- ssAnswer ssc. ssMental ssstatus
ssfunctioning ssis ssinferred ssthrough ssthe ssassessment ssof ssan ssindividual's ssbehaviors.
The ssnurse ssis ssassessing ssa ss75-year-old ssman. ssWhat ssshould ssthe ssnurse ssexpect
sswhen ssperforming ssthe ssmental ssstatus ssportion ssof ssthe ssassessment?
a. ssWill sshave ssno ssdecrease ssin ssany ssof sshis ssabilities, ssincluding ssresponse sstime.
b. ssWill sshave ssdifficulty sson sstests ssof ssremote ssmemory ssbecause ssthis ssability
sstypically ssdecreases sswith ssage.
c. ssMay sstake ssa sslittle sslonger ssto ssrespond, ssbut sshis ssgeneral ssknowledge ssand
ssabilities ssshould ssnot sshave ssdeclined. ss
,d. ssWill ssexhibit ssa ssdecrease ssin sshis ssresponse sstime ssbecause ssof ssthe ssloss ssof
sslanguage ssand ssa ssdecrease ssin ssgeneral ssknowledge. ss- ssAnswer ssc. ssMay sstake
ssa sslittle sslonger ssto ssrespond, ssbut sshis ssgeneral ssknowledge ssand ssabilities ssshould
ssnot sshave ssdeclined.
A ssnurse ssis sshelping ssat ssa sshealth ssfair ssat ssa sslocal ssmall. ssWhat ssshould ssthe
ssnurse sskeep ssin ssmind sswhen sstaking ssblood sspressures sson ssa ssvariety ssof
sspeople?
a. ssAfter ssmenopause, ssblood sspressure ssreadings ssin sswomen ssare ssusually sslower
ssthan ssthose sstaken ssin ssmen.
b. ssThe ssblood sspressure ssof ssan ssAfrican-American ssadult ssis ssusually sshigher ssthan
ssthat ssof ssa ssnon-Hispanic ssWhite ssadult ssof ssthe sssame ssage. ss
c. ssBlood sspressure ssmeasurements ssin sspeople sswho ssare ssoverweight ssshould ssbe
ssthe sssame ssas ssthose ssof sspeople sswho ssare ssat ssa ssnormal ssweight.
d. ssA ssteenager's ssblood sspressure ssreading sswill ssbe sslower ssthan ssthat ssof ssan
ssadult. ss- ssAnswer ssb. ssThe ssblood sspressure ssof ssan ssAfrican-American ssadult ssis
ssusually sshigher ssthan ssthat ssof ssa ssnon-Hispanic ssWhite ssadult ssof ssthe sssame ssage.
Which sstechnique ssis sscorrect sswhen ssthe ssnurse ssis ssassessing ssthe ssradial sspulse
ssof ssa sspatient?
a. ssPalpate ssfor ss1 ssminute, ssif ssthe ssrhythm ssis ssirregular. ss
b. ssPalpate ssfor ss15 ssseconds ssand ssmultiply ssby ss4, ssif ssthe ssrhythm ssis ssregular.
c. ssPalpate ssfor ss2 ssfull ssminutes ssto ssdetect ssany ssvariation ssin ssamplitude.
d. ssPalpate ssfor ss10 ssseconds ssand ssmultiply ssby ss6, ssif ssthe ssrhythm ssis ssregular
ssand ssthe sspatient sshas ssno sshistory ssof sscardiac ssabnormalities. ss- ssAnswer ssa.
ssPalpate ssfor ss1 ssminute, ssif ssthe ssrhythm ssis ssirregular.
A ssstudent ssis sslate ssfor sshis ssappointment ssand sshas ssrushed ssacross sscampus ssto
ssthe sshealth ssclinic. ssHow ssshould ssthe ssnurse ssproceed?
a. ssAllow ss5 ssminutes ssfor sshim ssto ssrelax ssand ssrest ssbefore sschecking sshis ssvital
sssigns. ss
b. ssCheck ssthe ssblood sspressure ssin ssboth ssarms, ssexpecting ssa ssdifference ssin ssthe
ssreadings ssbecause ssof sshis ssrecent ssexercise.
c. ssImmediately ssmonitor sshis ssvital sssigns sson sshis ssarrival ssat ssthe ssclinic ssand
ssthen ss5 ssminutes sslater, ssrecording ssany ssdifferences.
d. ssCheck sshis ssblood sspressure ssin ssthe sssupine ssposition, sswhich sswill ssprovide ssa
ssmore ssaccurate ssreading ssand sswill ssallow sshim ssto ssrelax ssat ssthe sssame sstime.
Feedback ss- ssAnswer ssa. ssAllow ss5 ssminutes ssfor sshim ssto ssrelax ssand ssrest ssbefore
sschecking sshis ssvital sssigns.
The ssnurse ssis ssassessing ssan ss8-year-old sschild sswhose ssgrowth ssrate ssmeasures
ssbelow ssthe ssthird sspercentile ssfor ssa sschild sshis ssage. ssHe ssappears sssignificantly
ssyounger ssthan sshis ssstated ssage ssand ssis sschubby sswith ssinfantile ssfacial ssfeatures.
ssWhich sscondition ssdoes ssthis sschild sslikely sshave?
a. ssAcromegaly
b. ssMarfan sssyndrome
, c. ssHypopituitary ssdwarfism ss
d. ssAchondroplastic ssdwarfism ss- ssAnswer ssc. ssHypopituitary ssdwarfism
When ssobserving ssa sspatient's ssverbal ssand ssnonverbal sscommunication, ssthe ssnurse
ssnotices ssa ssdiscrepancy. ssWhat ssaction ssshould ssthe ssnurse sstake ssin ssthis
sssituation?
a. ssAsk sssomeone sswho ssknows ssthe sspatient sswell ssto sshelp ssinterpret ssthis
ssdiscrepancy.
b. ssFocus sson ssthe sspatient's ssverbal ssmessage, ssand sstry ssto ssignore ssthe
ssnonverbal ssbehaviors.
c. ssTry ssto ssintegrate ssthe ssverbal ssand ssnonverbal ssmessages ssand ssthen ssinterpret
ssthem ssas ssan ssaverage.
d. ssFocus sson ssthe sspatient's ssnonverbal ssbehaviors, ssbecause ssthese ssare ssoften
ssmore ssreflective ssof ssa sspatient's sstrue ssfeelings. ss- ssAnswer ssd. ssFocus sson ssthe
sspatient's ssnonverbal ssbehaviors, ssbecause ssthese ssare ssoften ssmore ssreflective ssof
ssa sspatient's sstrue ssfeelings.
The ssnurse ssis ssassessing ssthe ssmental ssstatus ssof ssa sschild. ssWhich ssstatement
ssabout sschildren ssand ssmental ssstatus ssis sstrue?
a. ssAll ssaspects ssof ssmental ssstatus ssin sschildren ssare ssinterdependent. ss
b. ssChildren ssare sshighly sslabile ssand ssunstable ssuntil ssthe ssage ssof ss2 ssyears.
c. ssA sschild's ssmental ssstatus ssis ssimpossible ssto ssassess ssuntil ssthe sschild ssdevelops
ssthe ssability ssto ssconcentrate.
d. ssChildren's ssmental ssstatus ssis sslargely ssa ssfunction ssof sstheir ssparents' sslevel ssof
ssfunctioning ssuntil ssthe ssage ssof ss7 ssyears. ss- ssAnswer ssa. ssAll ssaspects ssof ssmental
ssstatus ssin sschildren ssare ssinterdependent.
When sscaring ssfor sschildren sswith ssa ssdifferent sscultural ssperspective, sswhat ssshould
ssthe ssnurse ssrecognize ssmay sspose ssa sschallenge?
a. ssChildren sshave ssspiritual ssneeds ssthat ssare ssinfluenced ssby sstheir ssstages ssof
ssdevelopment. ss
b. ssChildren sshave ssspiritual ssneeds ssthat ssare ssdirect ssreflections ssof sswhat ssis
ssoccurring ssin sstheir sshomes.
c. ssReligious ssbeliefs ssrarely ssaffect ssthe ssparents' ssperceptions ssof ssthe ssillness.
d. ssParents ssare ssoften ssthe ssdecision ssmakers, ssand ssthey sshave ssno ssknowledge
ssof sstheir sschildren's ssspiritual ssneeds. ss- ssAnswer ssa. ssChildren sshave ssspiritual
ssneeds ssthat ssare ssinfluenced ssby sstheir ssstages ssof ssdevelopment.
A ss30-year-old ssfemale sspatient ssis ssdescribing ssfeelings ssof sshopelessness ssand
ssdepression. ssShe sshas ssattempted ssself-mutilation ssand sshas ssa sshistory ssof
sssuicide ssattempts. ssShe ssdescribes ssdifficulty sssleeping ssat ssnight ssand sshas sslost
ss10 sspounds ssin ssthe sspast ssmonth. ssWhich ssof ssthese ssstatements ssor ssquestions
ssis ssthe ssnurse's ssbest ssresponse ssin ssthis sssituation?
a. ss"Do ssyou sshave ssa ssweapon?"
b. ss"How ssdo ssother sspeople sstreat ssyou?"
c. ss"Are ssyou ssfeeling ssso sshopeless ssthat ssyou ssfeel sslike sshurting ssyourself ssnow?"
ss
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